Social Anxiety Disorder: Signs, Screening, and Coping Strategies
When shyness becomes a diagnosable, treatable condition.
Everyone feels nervous in social situations from time to time. But for people with social anxiety disorder (also called social phobia), the fear of being judged, embarrassed, or humiliated is intense, persistent, and disruptive to daily life.

Core Symptoms
- Intense fear of social or performance situations
- Worry about being judged negatively by others
- Avoidance of social interactions, public speaking, or eating in public
- Physical symptoms: blushing, sweating, trembling, nausea, rapid heartbeat
- Recognition that the fear is excessive, yet feeling powerless to control it
How Common Is It?
Social anxiety disorder affects approximately 7–8% of the population at some point in life, making it one of the most common anxiety disorders. Onset is typically in adolescence.
The SPIN Screen
The Social Phobia Inventory (SPIN) is a 17-item self-report questionnaire that measures fear, avoidance, and physical symptoms of social anxiety. Higher scores indicate greater severity and impairment.
Treatment Options
Cognitive behavioral therapy (CBT) is the first-line treatment, especially exposure-based approaches. Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are effective pharmacological options for moderate to severe cases.
Take the free SPIN social anxiety test.
Book a telemedicine consultation or lab review with Dr. Taimoor Asghar.